Situation 1:
A man with a compound fracture presents to a family practice clinic, brought by friends after a fall off a roof.
The clinic is not equipped to cope with the injury, they call for the EMS and the patient is taken to the ER for treatment, admitted for surgical repair of the injury.
Situation 2:
A child is presented to the ER at 2:30 pm with a temperature of 100 with a complaint of an earache. The triage nurse advises the parents that the child's illness is not an emergency situation and gives them a list of phone numbers for several family practice clinics nearby.
In both of those hypothetical situations, the patient chose the wrong venue for care. The response to both was appropriate.
Doctors have the obligation to provide emergency care in a life-threatening situation if presented to their office. In most clinics, that care would be limited strictly to life-sustaining measures only until the patient could be removed to a trauma-based facility.
ER's have the obligation to provide emergency care, but face it, many people utilize an ER as a clinic, not just for severe illness or trauma. ER's should refer non-emergency care to clinics and private practices.
That said, this nation does not have National Health like say the UK which has long-waiting lists for procedures that would be done here in a short matter of time.
Doctors overhead is quite high. Cost of office staff, nursing staff, lab staff, etc. They have to pay malpractice insurance,
unemployment insurance (which they'd probably never get to claim if their offices burned down). They should not be required to work for free, but many do volunteer time and services for free.
This is a multi-layered problem. It is compounded by individuals who seek care and never pay, driving up costs for others. Consumers of health care need to use some common sense in seeking care. Many hospitals need to have some compassion for those who can't afford it. It is a circular problem.
2007-07-01 05:58:56
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answer #1
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answered by Anonymous
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I think as long as we are free to have personal choice and the right to choose our own careers etc... it should be up to the doctor.
I am an electrician and I have seen some things that are potentially dangerous and may cause injury and possibly death to humans. Should I be required to fix those problems even if the people can't pay? People's lives and health are at stake!!! Personally I would have a difficult time watching somebody suffering and not help them, that must be why I am a volunteer EMT... but if I am making a living and feeding my family with my job I think I need to use my own generosity to give it away free and not have it dictated by a law. What would be my incentive to go to college for 6 to 12 years?
There are doctors that help people without thinking of how rich they will become, but not a lot of them...
2007-07-01 05:32:48
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answer #2
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answered by James Q 4
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Due to private practices they have the right to treat whoever they want to ...it;s all money the person does not matter any more.With drugs uses is at a all time high ,No one cares about your pain..Try a pain clinic but this is for chronic pain .Sometimes even this is not enough.....I thing all doctors should have to see a person if it is in there field of medicine..It should be a law just about this but this is why a lot of doctors go out on there own or in with a small group of doctors...Good luck fixing the health care system
2007-07-01 05:36:12
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answer #3
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answered by Anonymous
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Thats rediculous. To equip every single doctors office with all the material required to treat people who come in to the emergency room would not only be a huge waste of money, but really impractical. What if you're suffering from a heart condition and you walk in to an orthodontists office? Do you think the orthodontist should have the equipment to treat you?
2007-07-01 05:19:40
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answer #4
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answered by Hans B 5
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I spend about 20% of my time on non-paying patients, and I don't even get a tax break for doing it. Those people cost me money, and I don't mind a bit. I put it down to Christian charity personally. But I'm not thrilled at the prospect of becoming a slave.
Doctors have to work for a living, and they have to pay for the things they use in their practice. There's nobody to pay them a salary or pay their expenses. The doctors have to pay for the tests they run in the office. They have to pay the salaries of the nurses, receptionists, and all those other people. That money has to come from someplace, and there is no place except the patient to get that money. If the patient has the cash or insurance, fine. If the patient doesn't, where do you expect the money to come from? I'm guessing you have pretty small personal expenses for your job, so I put to you a simpler question: how much of your time would you do your work for no pay? Tell your boss you want to work Fridays and holidays for no pay, and you'll have an idea of what I do now.
I do think we need a national universal insurance program for limited problems, but the entire economy can't be spent on health, so there will need to be some national discussion of what conditions should be covered and what needn't be. The dollars have to be rationed somehow. That's where we need to focus, and we really can't waste too much effort on adolescent thinking.
2007-07-01 06:11:56
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answer #5
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answered by Anonymous
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All doctors can treat pain or hurting people. The reason that ER doctors treat "hurting people" is they are specially trained to diagnose quickly, have the resources to have immediate results to tests and xrays and then have immediate medications to treat the problem. These options are not always available for a Dr's office
2007-07-01 06:16:57
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answer #6
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answered by kegparty 1
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Not all doctors are good at treating all kinds of "hurt". That's why we have specialists.
Trust me, if you are having a heart attack, you do NOT want to be treated by an ophthalmologist or dermatologist. You want to be treated by someone who has the skills and equipment to do the job right.
I like WWD's idea of having everyone volunteer to work one day a week for no pay. That money could be used to fund our national health care!
2007-07-01 09:22:59
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answer #7
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answered by Pangolin 7
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next time, tell the truth, no matter how much your voice shakes. it may be hard but if you want help, lying isn't going to get it to you. try to get closer to your parents, start with little conversations and after time, hopefully, your parents, or one at least, will be your best friend. well, that's what you should aim for. if it is really too difficult for you to tell the truth with your mum in the room, ask if she could wait outside? on a side note, you said you only do what has to be done? try reading to relax you, it'll also take your mind off things. :)
2016-04-01 02:05:07
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answer #8
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answered by Anonymous
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Shouldn't I be able to call any plumber at any time of the night and make him come and fix my blocked drains?
Shouldn't I be able to take my car to any mechanic at any time and make him fix it right away?
Shouldn't I be able to talk to my banker at any time of the day or night?
Oh! I forgot, those guys have hours when they work and protected time off when they don't, they can decide which kind of repairs they do, they have families to go back to and they have a right to expect that customers won't call them in the middle of the night. Those things don't apply to doctors do they?
2007-07-01 07:10:10
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answer #9
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answered by Vinay K 3
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it depends on how injured you are compared to an emergency room pacient
2007-07-01 05:12:29
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answer #10
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answered by mike p 3
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